| NPI | 1144784422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 0-25-16123) |
| Additional Taxonomies | 247200000X Technician, Other |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-05-22 |